Inspection Reports for Heritage of Soda Springs
425 S Spring Creek Dr, ID, 83276
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 11, 2024, found multiple deficiencies including incomplete employee background checks, unsafe chemical storage accessible to cognitively impaired residents, medication administration errors, inconsistent health care follow-up, and lack of a current Certified Food Protection Manager. Earlier inspections also identified issues with fire and life safety drills and emergency lighting in January 2024, as well as concerns about resident safety, medication management, and care planning during the initial licensure survey in April 2023. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports, and no complaints were substantiated. The main themes across inspections involved medication management, resident safety related to environment and supervision, and compliance with safety protocols. The pattern of deficiencies has remained consistent over time, with similar issues recurring in follow-up inspections.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
7.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% better than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Follow-Up
Deficiencies: 5
Date: Jul 11, 2024
Visit Reason
The inspection was a health care licensure and follow-up survey to assess compliance with regulatory requirements and verify correction of previously cited deficiencies.
Findings
The facility was found to have multiple deficiencies including failure to obtain background checks for employees before working alone with residents, unsafe storage of toxic chemicals accessible to cognitively impaired residents, medication administration errors including missed and incorrect doses, inconsistent recommendations to medical providers regarding residents' health needs, and lack of a current Certified Food Protection Manager.
Deficiencies (5)
One of four employees did not have Idaho State Police background check results obtained prior to working alone with residents.
Toxic chemicals were stored in an unlocked area accessible to cognitively impaired residents on multiple occasions.
Facility nurse did not ensure residents received medication and treatment orders as ordered, including multiple missed doses and wrong insulin doses.
Facility nurse did not consistently make recommendations to medical providers or families regarding residents' health needs requiring follow-up care.
Facility did not have a Certified Food Protection Manager; previous manager's certification had expired.
Report Facts
Missed medication doses: 7
Missed medication doses: 8
Missed medication doses: 6
Incorrect insulin doses: 6
Certification expiration date: 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Adams | Administrator | Stated that Idaho State Police background check results were not completed. |
| Mina Ramirez | Survey Team Leader | Led the health care licensure and follow-up survey. |
Inspection Report
Life Safety
Deficiencies: 2
Date: Jan 10, 2024
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to review compliance with emergency actions, fire drills, and fire and life safety standards for the facility.
Findings
The facility failed to conduct the required six annual bi-monthly fire/emergency evacuation drills, including two nighttime drills, and failed to maintain required testing of battery back-up emergency lighting as per NFPA 101 standards.
Deficiencies (2)
Facility did not conduct the required 6 annual, bi-monthly fire/emergency evacuation/relocation drills, including 2 nighttime drills.
Facility failed to maintain testing of battery back-up emergency lighting, including 30 seconds monthly testing and 90-minute annual testing.
Report Facts
Required fire drills: 6
Nighttime drills required: 2
Monthly emergency lighting test duration: 30
Annual emergency lighting test duration: 90
Inspection Report
Original Licensing
Deficiencies: 8
Date: Apr 13, 2023
Visit Reason
The inspection was conducted as an initial licensure survey for Heritage of Soda Springs healthcare facility.
Findings
The facility was found to have multiple deficiencies including lack of a secure environment for residents at risk of elopement, unsafe storage of toxic chemicals accessible to cognitively impaired residents, medication availability and ordering issues, failure to assess residents' health status changes, incomplete medication distribution, outdated negotiated service agreements, and lack of behavior management plans for residents with maladaptive behaviors.
Deficiencies (8)
The facility did not provide a secure environment for residents with cognitive impairments and history of elopement attempts.
Toxic chemicals were stored in unlocked areas accessible to cognitively impaired residents on multiple occasions.
Residents did not have prescribed medications available, including missed doses and lack of medication orders upon admission.
Facility nurse did not assess residents when they experienced changes in condition, including failure to review caregiver notes.
Several residents did not have ordered PRN medications available.
Negotiated Service Agreements were not updated to reflect significant changes in residents' care needs.
The facility did not ensure maladaptive behaviors of residents were assessed to create behavior management plans.
Behavior plans including specific interventions for residents' behaviors were not developed.
Report Facts
Medication doses missed: 8
Medication doses missed: 3
Medication order delay days: 7
PRN medications unavailable: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Adams | Administrator | Named in relation to multiple findings including medication availability and behavior plans |
| Stacey Brown | Survey Team Leader | Led the initial licensure survey |
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